Understanding Blood Test Results: Insights on Liver Health and More
Blood test value inquiry? Hello, doctor. Recently, my family arranged for a blood test at a laboratory, and I have some questions regarding the results. Here are the liver-related values: Total Bilirubin: 1.1, Direct Bilirubin: 0.35, Total Protein: 7.4, Albumin: 5.0, Globulin: 2....
Dr. Chen Shidian Reply:
It is still within an acceptable range; a re-evaluation of the slightly abnormal parts can be done in 3 to 6 months for comparison.[Read More] Understanding Blood Test Results: Insights on Liver Health and More
Will Hemorrhoid Bleeding Affect Fecal Occult Blood Test Results?
Fecal occult blood test (FOBT) Hello doctor, today I went to the lab to test for fecal occult blood. After the test, I remembered that last Monday I had a hard stool that caused a tear and bleeding from my hemorrhoids. I would like to ask if this will affect the interpretation of...
Dr. Cai Jinji Reply:
Dear Mr. Xiao Ming: It is recommended that you discuss the examination results with your physician during your follow-up visit. Director Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.[Read More] Will Hemorrhoid Bleeding Affect Fecal Occult Blood Test Results?
Understanding Digestive Issues: Insights for Young Professionals
Colon-related issues? Hello doctor, I am a 25-year-old office worker who has been sitting at a computer desk for over a year. About two years ago, I started experiencing infrequent bowel movements that are rarely well-formed; even when they are, they are often short. Despite this...
Dr. Chen Shidian Reply:
If it is determined that there is still a motility disorder, increasing the intake of fruits and vegetables and taking a walk after meals may help. If there are still concerns, a fecal occult blood test can be performed.[Read More] Understanding Digestive Issues: Insights for Young Professionals
Understanding Bowel Issues: Why Do My Stools Change Throughout the Day?
Bowel issues? I have a question for the doctor. Recently, I've noticed that when I feel the urge to have a bowel movement in the morning but don't go, by the time I go in the evening, the stool is small and pellet-like, resembling rabbit droppings, and the odor is stron...
Dr. Chen Shidian Reply:
Everyone's bowel response is different. It is recommended to eat more fruits and vegetables, not to eat too quickly during meals, take a walk after eating, and then observe the changes.[Read More] Understanding Bowel Issues: Why Do My Stools Change Throughout the Day?
Understanding Right Lower Abdominal Pain: Causes and Solutions
Right lower abdominal cramping pain? Hello, doctor. My job requires prolonged sitting, and since last year, I've been experiencing unexplained cramping pain in my lower right abdomen. Sometimes it lasts for 1-2 days, and other times it can continue for several days. Typicall...
Dr. Lin Minghui Reply:
Possible causes of sharp pain in the lower right abdomen include neuropathic pain, muscle soreness, gynecological issues, urinary tract problems, or gastrointestinal issues. Gynecological examinations showed no abnormalities. Fecal occult blood tests were negative. There is a dec...[Read More] Understanding Right Lower Abdominal Pain: Causes and Solutions
Understanding Bowel Issues: Anxiety, Diet, and Gastrointestinal Health
Bowel issues Hello Doctor: I am 28 years old and have a history of anxiety. I do not smoke or drink, and there is no family history of colorectal cancer. I had previously interrupted my medication, but I resumed taking it (Lianyou, Mijing, Sibilai) on October 6. My question is ab...
Dr. Yang Zhichao Reply:
Hello Mr. Hsiao-Kang: Based on your condition, it seems you may have Irritable Bowel Syndrome (IBS). You should consult a physician and arrange for a colonoscopy. If the results are normal, it will provide you with more peace of mind. Thank you for your inquiry.[Read More] Understanding Bowel Issues: Anxiety, Diet, and Gastrointestinal Health
Why Can't a CT Scan Detect the Pancreas? Understanding the Risks
The pancreas is not visible on the CT scan? Hello Doctor: I would like to ask about a previous abdominal CT scan that revealed a cyst larger than 16 cm in the abdomen, and my stomach has also shifted forward. However, both the written report and the images indicate that the pancr...
Dr. Chen Shidian Reply:
It should be covered; I recommend checking the results of the follow-up examinations.[Read More] Why Can't a CT Scan Detect the Pancreas? Understanding the Risks
Concerns About Eating Undercooked Pork: Symptoms and Next Steps
Eating undercooked pork? Hello: During dinner today, I pan-fried some frozen pork collar, and since the meat was cut a bit thick and possibly not fully thawed, I cooked it for about 10 minutes before eating. After consuming some, I noticed the meat was pink, which likely means it...
Dr. Chen Shidian Reply:
It is necessary to test stool for parasites if symptoms are present.[Read More] Concerns About Eating Undercooked Pork: Symptoms and Next Steps
Understanding Bowel Issues: Symptoms and Next Steps for Diagnosis
Bowel-related issues? Hello Doctor, I am 39 years old and have had irregular sleep patterns for a long time (I have recently adjusted my schedule). I have been a long-term smoker (I have quit smoking) and have experienced gastroesophageal reflux for an extended period. For the pa...
Dr. Chen Shidian Reply:
If a colonoscopy has been performed, follow-up treatment should be coordinated with the immunology department.[Read More] Understanding Bowel Issues: Symptoms and Next Steps for Diagnosis
Understanding Persistent Right Lower Abdominal Bloating: Causes and Concerns
Prolonged bloating in the lower right abdomen? Hello Doctor, I apologize for interrupting you during your busy schedule! Around May and June of this year, I suddenly noticed that lightly tapping my right lower abdomen (the area next to the navel down to the lower abdomen) produc...
Dr. Cai Anshun Reply:
Hello: 1. The left and right colon are not completely symmetrical, so they will not be exactly the same on both sides. 2. If menstrual symptoms are more severe, it may be necessary to consider gynecological issues such as endometriomas. Additionally, it could simply be irritable ...[Read More] Understanding Persistent Right Lower Abdominal Bloating: Causes and Concerns
Understanding Persistent Right Lower Abdominal Bloating: Causes and Concerns
Prolonged bloating in the lower right abdomen? Hello Doctor, I apologize for interrupting you during your busy schedule! Around May and June of this year, I suddenly noticed that lightly tapping my right lower abdomen (the area next to the navel down to the lower abdomen) produc...
Dr. Cai Anshun Reply:
Hello: 1. The left and right colon are not completely symmetrical, so they will not be exactly the same on both sides. 2. If menstrual symptoms are more severe, it may be necessary to consider gynecological issues such as endometriomas. Additionally, it could simply be irritable ...[Read More] Understanding Persistent Right Lower Abdominal Bloating: Causes and Concerns
Understanding Mucus Diarrhea: Causes, Concerns, and When to Seek Help
Diarrhea with mucus (has seen a traditional Chinese medicine practitioner)? Hello Doctor, :( I had diarrhea like this earlier this year and saw a doctor and took medication, which helped for a while.) I have been experiencing intermittent diarrhea for the past month or two, with ...
Dr. Lin Minghui Reply:
Possible gastroenteritis or irritable bowel syndrome. For frequent diarrhea, it is recommended to maintain a light diet and avoid spicy and greasy foods. Remember to replenish fluids and electrolytes during diarrhea; severe diarrhea can lead to dehydration, which may cause electr...[Read More] Understanding Mucus Diarrhea: Causes, Concerns, and When to Seek Help
Understanding Bloating and Discomfort: Gastrointestinal Concerns Explained
Abdominal bloating? Hello Dr. Lin, I apologize for bothering you. I would like to ask about a feeling of tightness and bloating in my stomach that I've been experiencing for the past few months. Sometimes, I feel a bloating sensation in the area just a little to the left of ...
Dr. Lin Minghui Reply:
The sensation of a skipped heartbeat in the chest, along with tightness, may commonly be attributed to causes such as indigestion, gastroenteritis, gastroesophageal reflux disease (GERD), peptic ulcers, irritable bowel syndrome (IBS), and liver, gallbladder, or pancreatic disease...[Read More] Understanding Bloating and Discomfort: Gastrointestinal Concerns Explained
Understanding MRI Findings: Assessing Liver Lesions After HCC Surgery
MRI Report Several years ago, a family member underwent surgery for liver cancer and recovered well, with follow-ups every three months. Recently, a CT scan indicated a gray shadow on the liver, prompting the doctor to order blood tests and a nuclear magnetic resonance (NMR) exam...
Dr. Chen Shidian Reply:
The report indicates a recurrence of liver cancer; please discuss this with the attending physician for their assessment.[Read More] Understanding MRI Findings: Assessing Liver Lesions After HCC Surgery
Understanding Gastrointestinal Issues: Symptoms, Causes, and When to Seek Help
Gastrointestinal function issues Hello, doctor. Last week, I visited a traditional Chinese medicine practitioner and am currently taking herbal medicine for my health. I have a habit of staying up late, which has affected my gastrointestinal function. Recently, I have been troubl...
Dr. Chen Shidian Reply:
It is simply irritable bowel syndrome; just maintain a balanced diet with smaller portions, low oil, and low dairy. If necessary, gastrointestinal medications can be used for management.[Read More] Understanding Gastrointestinal Issues: Symptoms, Causes, and When to Seek Help
Understanding Your Hepatitis B Test Results: What Does Reactive Mean?
Is this hepatitis B? Hello, doctor. I had a blood test for hepatitis B two days ago, and the HBsAg result is (Reactive 1369.000). Does this mean I have hepatitis B? Is the viral load very high?
Dr. Chen Shidian Reply:
It is positive. The antigen-positive result is for reference only. Further evaluation by a gastroenterologist is recommended. Siblings and spouse should also get tested.[Read More] Understanding Your Hepatitis B Test Results: What Does Reactive Mean?
Understanding Abdominal Ultrasound Results: Key Concerns for Hepatitis B Patients
Questions related to abdominal ultrasound examination? Hello Doctor, I am a carrier of hepatitis B. Today, during my health check-up, I had an abdominal ultrasound. The doctor indicated that there are some white spots on the liver surface, with one larger spot measuring 0.6 cm. I...
Dr. Lin Minghui Reply:
It is recommended to closely monitor and only perform a biopsy if there is a suspicion of malignancy, as small lesions may not be adequately sampled. Pancreatic and hepatic cysts are generally benign. If they are not too large or causing compression or complications, monitoring i...[Read More] Understanding Abdominal Ultrasound Results: Key Concerns for Hepatitis B Patients
Understanding Pancreatic Tumors: Diagnosis, Treatment Options, and Risks
Pancreatic tumor Dear Dr. Lin, In July, my husband underwent a low-dose computed tomography (LDCT) scan originally intended to monitor his lungs, but it unexpectedly revealed a pancreatic tumor approximately 3.2 cm in size with low density. We promptly returned to the thoracic s...
Dr. Lin Minghui Reply:
A cyst in the body of the pancreas larger than three centimeters may sometimes be difficult to identify on imaging. An endoscopic ultrasound (EUS) has been arranged, and it does not communicate with the bile duct. There are no nodules within the tumor, leaning towards a serous cy...[Read More] Understanding Pancreatic Tumors: Diagnosis, Treatment Options, and Risks
Understanding Abnormal CA19-9 Levels: Next Steps for Patients
Abnormal CA 19-9 levels, inquiry about follow-up consultation methods? Hello Doctor, About three weeks ago, I went to the hospital for a self-paid health checkup. Due to my menstrual period, I first underwent abdominal/pelvic/breast ultrasound, and a week later, I completed blo...
Dr. Chen Shidian Reply:
CA 19-9 cannot be used for diagnosis due to a very high rate of false positives; its interpretation depends on the individual physician's perspective. The principle is that if there are no specific tumors found during health screenings, one can feel reassured. It would be ad...[Read More] Understanding Abnormal CA19-9 Levels: Next Steps for Patients
Understanding Weight Loss and Hair Loss: The Impact of Autonomic Dysfunction
Weight issues, autonomic nervous system disorders, gastrointestinal problems? I have recently been experiencing irregular sleep patterns, often staying up all night and sometimes going over 24 hours without sleep, followed by long sleep sessions of about 12 hours. This situation ...
Dr. Chen Shidian Reply:
It may be autonomic nervous system dysfunction, which can be managed and monitored for weight changes by a psychosomatic medicine specialist.[Read More] Understanding Weight Loss and Hair Loss: The Impact of Autonomic Dysfunction